Hip Replacement · Dr. Hitesh Mangal

Hip Replacement

Reduce hip pain. Restore mobility. Return to everyday movement with confidence.

Severe hip pain can make walking, climbing stairs, getting up from a chair, putting on shoes or sleeping comfortably increasingly difficult.

At Durva Hospital, Kota, Dr. Hitesh Mangal provides detailed evaluation and personalised planning for advanced hip arthritis, AVN and significant hip-joint damage.

Orthopaedic surgeon discussing hip replacement and mobility with a patient
Personalised planningMobility with confidence

Replacing damaged joint surfaces to improve hip function.

The hip is a ball-and-socket joint. The femoral head forms the ball, while the acetabulum in the pelvis forms the socket. Severe damage can make movement painful and restricted.

In a Total Hip Replacement (THR), damaged portions are replaced with suitable artificial components designed to create a smoother-moving joint.

Conditions That May Lead to Replacement

Significant joint damage can have different causes.

Having one of these conditions does not automatically mean surgery is necessary. Symptoms and functional impact guide the decision.

  • Hip Osteoarthritis
  • Avascular Necrosis (AVN)
  • Rheumatoid Arthritis
  • Certain Hip Fractures
  • Post-Traumatic Arthritis
  • Severe Hip Joint Damage

Common Pathways

When hip disease begins limiting everyday life.

01 · Osteoarthritis

Progressive wear affecting movement.

Hip osteoarthritis may cause groin, hip or thigh pain, stiffness after sitting, reduced movement and difficulty walking or climbing stairs. Replacement is generally considered only when damage is advanced and appropriate conservative care no longer provides adequate relief.

02 · Avascular Necrosis

Loss of blood supply to the femoral head.

AVN can weaken the femoral head and lead to collapse. Treatment depends on its stage; replacement may be considered in advanced cases with collapse and significant arthritis.

Do All Patients Need Replacement?

No. Hip pain does not automatically mean surgery.

Dr. Hitesh Mangal first evaluates the underlying cause, severity, movement and impact on daily life. Early and moderate problems may often be managed conservatively.

Surgery is discussed when hip damage significantly affects function and appropriate non-surgical treatment no longer provides adequate relief.

When May Replacement Be Considered?

Symptoms that warrant specialist evaluation.

The decision is based on the complete clinical picture rather than an X-ray alone.

  • Persistent or severe hip or groin pain
  • Difficulty walking or standing
  • Significant hip stiffness
  • Difficulty climbing stairs
  • Difficulty getting up from a chair
  • Reduced everyday activity
  • Pain affecting sleep or rest
  • Progressive loss of movement
  • Symptoms continuing despite treatment

Hip Evaluation by Dr. Hitesh Mangal

The right surgery begins with the right diagnosis.

Evaluation includes pain, hip movement, walking pattern, functional limitations, medical history and previous treatment.

Appropriate imaging—usually X-rays, with additional investigations when clinically required—helps assess the extent and cause of damage.

These findings determine whether conservative treatment should continue or replacement may be appropriate.

  1. 01Pain & Medical History
  2. 02Hip Movement
  3. 03Walking & Function
  4. 04X-rays & Investigations
  5. 05Individual Recommendation

Total Hip Replacement

  1. 01
    Remove Damaged SurfacesThe damaged femoral head and affected socket surfaces are addressed.
  2. 02
    Place New ComponentsSuitable artificial components create a smoother-moving joint.
  3. 03
    Check StabilityHip stability, alignment and movement are carefully assessed.
  4. 04
    Begin RecoveryMobilisation and rehabilitation continue beyond the operation.

Personalised Surgical Planning

Implant and surgical decisions matched to the patient.

Planning considers joint damage, bone quality, hip anatomy, age, general health, mobility requirements and functional goals.

The objective is not simply to replace a damaged joint, but to help the patient regain comfortable movement, functional mobility and greater independence.

After Hip Replacement

Recovery continues beyond the operation.

Timelines vary according to age, general health, muscle strength and surgical complexity.

  1. 01Early MobilisationBegin safe movement according to the treating team’s advice.
  2. 02Walking TrainingProgress walking with appropriate support.
  3. 03PhysiotherapyWork on hip movement, balance and muscle strength.
  4. 04Functional ProgressionGradually regain independence in everyday activities.
  5. 05Follow-UpMonitor healing, mobility and progress.

Revision Hip Replacement

When a previous hip replacement needs further evaluation.

A replaced hip may occasionally require revision because of implant wear, loosening, instability, infection, fracture around the implant or another complication.

Revision replacement can be more complex than first-time surgery and requires detailed assessment and planning.

Hip Replacement Care at Durva Hospital

Restore comfortable movement and greater independence.

Care is planned around the individual patient—from diagnosis and non-surgical options to replacement and rehabilitation when clinically appropriate.

  1. 01Detailed Evaluation
  2. 02Accurate Diagnosis
  3. 03Non-Surgical Options
  4. 04Surgical Planning
  5. 05Hip Replacement
  6. 06Rehabilitation
  7. 07Follow-Up
Living with severe hip pain or difficulty walking?Get your hip properly evaluated before deciding on surgery.
Book an Appointment with Dr. Hitesh Mangal